Assignment: AR disorders

Assignment: AR disorders

Assignment: AR disorders

Question 1: Which of the following symptoms is common with acute otitis media?

Bulging tympanic membrane

Bright light reflex of tympanic membrane

Increased tympanic membrane mobility

All of the above

Question 2 The cytochrome p system involves enzymes that are generally:

Inhibited by drugs

Induced by drugs

Inhibited or induced by drugs

Associated with decreased liver perfusion

Question 3 In AR disorders, carriers have:

Two mutated genes; one from each parent that cause disease

A mutation on a sex chromosome that causes a disease

A single gene mutation that causes the disease

One copy of a gene mutation but not the disease

Question 4 A 56-year-old male complains of anorexia, changes in bowel habits, extreme fatigue, and unintentional weight loss At times he is constipated and other times he has episodes of diarrhea His physical examination is unremarkable It is important for the clinician to recognize the importance of:

CBC with differential

Stool culture and sensitivity

Abdominal X-ray

Colonoscopy

Question 5 Which of the following findings should trigger an urgent referral to a cardiologist or neurologist?

History of bright flash of light followed by significantly blurred vision

History of transient and painless monocular loss of vision

History of monocular severe eye pain, blurred vision, and ciliary flush

All of the above

Question 6 In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous discharge This is most likely indicative of:

Bacterial sinusitis

Allergic rhinitis

Drug abuse

Skull fracture

Question 7 An 82-year-old female presents to the emergency department with epigastric pain and weakness She admits to having dark, tarry stools for the last few days She reports a long history of pain due to osteoarthritis She self-medicates daily with ibuprofen, naprosyn, and aspirin for joint pain On physical examination, she has orthostatic hypotension and pallor Fecal occult blood test is positive A likely etiology of the patient’s problem is:

Mallory-Weiss tear

Esophageal varices

Gastric ulcer

Colon cancer

Question 8 Your patient is a 78-year-old female with a smoking history of 120-pack years She complains of hoarseness that has developed over the last few months It is important to exclude the possibility of:

Thrush

Laryngeal cancer

Carotidynia

Thyroiditis

Question 9 Your patient has been using chewing tobacco for 10 years On physical examination, you observe a white ulceration surrounded by erythematous base on the side of his tongue The clinician should recognize that very often this is:

Malignant melanoma

Squamous cell carcinoma

Aphthous ulceration

Behcet’s syndrome

Question 10 The best way to diagnose structural heart disease/dysfunction non-invasively is:

Chest X-ray

EKG

Echocardiogram

Heart catheterization

Question 11 (*There are multiple questions on this exam related to this scenario Be sure to read the whole way through to the question) MrKeenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with  an acute onset of significant right upper-quadrant abdominal pain and vomiting His pain began after a large meal, was unrelieved by a proton-pump inhibitor, was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain His pain seems to radiate to his back Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain He furthermore denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss Finally, there are no dermatologic signs, nor genitourinary symptoms

Assignment: AR disorders